HomeMy WebLinkAbout13114_LATHAM, JOHN_19940701CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ' , i >
Applicant Name c Phone Number
Address 4 7 +�°�'� �i _e, -1 6
Cityf
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Pr*ect Location (County, State Road, Water Body, etc.) ri -I
Type of Project Activity "^ 5 i q .�-- x If. -o
PROJECTDESCRIPTION
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
1'
applicants signature
JA /
permit officer's signature
% - rl 1/
issuing date
attachments / '� ;2
application fee_ i' �G
expiration date
JUDY R. LATHAM SSN 238-66-7187 06-73 1808
JOHNNY G. LATHAM SSN 241-54-9293 fib-947/531
DL HERS S RD.,
HIS 4-283- 4 & 7
2317 LAWYERS RD., E. 704-283-7668 � 19 f(
MONROE, NC 28110
PAY ToTHE
ORDER OF
7� ���__DOLLARS
Security B k
FOR Q,,- �=-+--: i, �-J-------
1:053 1094791: 808070357 L IS?11'0
P 876 n90 Col
j Receipt for
I Certified Mail
No Insurance Coverage Provided
Do not use for International Mail
(See Reverse)
Sent to
Street and No.
P.0„ State and ZIP Code T 1
Postage '7 f
Certified Fee
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Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
0) to Whom & Date Delivered SVJ
7 Rei Showing to Whom
ee's Address
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CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
en$Mwasomm
COURTHOUSE SQUARE
BEAUFORT. N. C. 2851 6-1 898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
_ d 9-o h ti-1 r u k 4 7�, 4 INA
(Name)
's property
located at JD S c4, -v- � Z- A
(Lot, Block, Road, etc.) on
(f0 Y Q_ SOGcy.d in
(Water Body)N.C.
(Town and/or County)
He/She has described to me as shown below the development he/she is
proposing at that location and I have no objections to his/her
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING D pMLNT)
'signature
/l Az e-1 a- T
Name
Phone Number
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,s 434.63'
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EIR BOAT RANI —�►
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WOGDEN BULKHEAD
PROP. COPPER IS LG_ E
S 10054,1 1 "del U.66'
FROM BULKHEAD
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TITLE:
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